Goodwill, Other Intangibles, and Property and Equipment (Tables)

12 Months Ended

Dec. 31, 2018

Goodwill Other Intangibles And Property And Equipment [Abstract]

Goodwill activity

(In millions)		2018		2017
Balance at January 1,	$	6,164	$	5,980
Goodwill acquired, net		38,371		154
Impact of foreign currency translation		(30)		30
Balance at December 31,	$	44,505	$	6,164

Components of other assets, including other intangbiles

			Accumulated	Net Carrying
(In millions)		Cost	Amortization	Value
2018
Customer relationships	$	31,451	1,213	30,238
Trade Name - Express Scripts		8,400	-	8,400
Other		560	195	365
Other intangible assets		40,411	1,408	39,003
Value of business acquired (reported in deferred policy acquisition costs)		665	102	563
Total	$	41,076	1,510	39,566
2017
Customer relationships	$	1,280	1,056	224
Other		291	170	121
Other intangible assets		1,571	1,226	345
Value of business acquired (reported in deferred policy acquisition costs)		232	86	146
Total	$	1,803	1,312	491

Components of property and equipment

				Accumulated		Net Carrying
(In millions)		Cost		Amortization		Value
2018
Internal-use software	$	5,694	$	2,415	$	3,279
Other property and equipment
Assets recorded under capital leases (1)		56		4		52
Other property and equipment not recorded under capital leases		2,208		977		1,231
Total other property and equipment		2,264		981		1,283
Total property and equipment	$	7,958	$	3,396	$	4,562
2017
Internal-use software	$	2,991	$	2,184	$	807
Other property and equipment
Assets recorded under capital leases (1)		49		31		18
Other property and equipment not recorded under capital leases		1,573		835		738
Total other property and equipment		1,622		866		756
Total property and equipment	$	4,613	$	3,050	$	1,563
(1) Current capital lease agreements are for equipment and generally have a term of 48 months with the equipment expected to be returned to the lessor at termination.

Components of depreciation and amortization

(In millions)	2018		2017		2016
Internal-use software	$	323	$	298	$	303
Other property and equipment (1)		146		153		158
Value of business acquired (reported in deferred policy acquisition costs)		16		18		20
Other intangibles		210		97		129
Total depreciation and amortization	$	695	$	566	$	610
(1) Other property and equipment includes amortization on assets recorded under capital leases of $9 million in 2018, $14 million in 2017 and $20 million in 2016.

Pre-tax amortization for intangible assets, including internal-use software

(In millions)	Pre-tax Amortization
2019	$	3,169
2020	$	2,164
2021	$	2,062
2022	$	1,844
2023	$	1,777